A client with ESRD reports experiencing severe muscle cramps and twitching. Which nursing intervention is appropriate to address this symptom?

Administering a bolus of intravenous (IV) fluid to increase urine output

Encouraging the client to engage in vigorous physical exercise

Providing prescribed phosphate-binding medications as scheduled

Restricting the client's dietary protein intake to minimal levels

Answer and Explanation

The Correct Answer is C

A. This is incorrect. Administering a bolus of IV fluid may worsen fluid overload and electrolyte imbalances in the client with ESRD. It is not an appropriate intervention for muscle cramps and twitching.

B. This is incorrect. Vigorous physical exercise may exacerbate muscle cramps and twitching in clients with ESRD. Encouraging moderate physical activity is more appropriate.

C. This is correct. Muscle cramps and twitching in clients with ESRD are often associated with elevated phosphate levels in the blood. Phosphate-binding medications can help reduce phosphate levels and alleviate these symptoms.

D. This is incorrect. While dietary protein intake may need to be adjusted for clients with ESRD, restricting protein intake to minimal levels can lead to malnutrition and other complications. It is not an appropriate intervention for muscle cramps and twitching.

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Correct Answer is B

Explanation

A. This is incorrect because while kidney transplantation is an essential treatment option for ESRD, it is not the only option. Dialysis (hemodialysis or peritoneal dialysis) is also a viable treatment to replace kidney function for clients who are not transplant candidates or awaiting transplantation.

B. This is correct. Dialysis is the primary treatment for ESRD, providing renal replacement therapy by removing waste products and excess fluid from the blood. Kidney transplantation is another treatment option for eligible candidates who may benefit from a functioning kidney.

C. This is incorrect because effective treatment options, such as dialysis and kidney transplantation, are available for ESRD. There is ongoing research and development in nephrology, but new therapies have not replaced the standard treatments.

D. This is incorrect because ESRD is a severe condition where the kidneys have permanently lost their ability to function, and treatment options such as dialysis or transplantation are necessary to sustain life.

A. Encourage the client to ignore their financial situation to prevent additional stress. B. Refer the client to a financial counselor to explore financial assistance options. C. Advise the client to borrow money from friends or family to meet their expenses. D. Tell the client that financial struggles are common and unavoidable in ESRD.

Correct Answer is B

Explanation

A. Encouraging the client to ignore their financial situation does not address their distress and may hinder them from seeking appropriate financial support.

B. This is the correct answer. Referring the client to a financial counselor can help them explore financial assistance options, budgeting strategies, and potential resources to alleviate their financial difficulties.

C. Suggesting the client borrow money from friends or family may not be a practical solution, and it does not address the root cause of the client's financial distress.

D. While it may be true that financial struggles are common in ESRD, simply acknowledging this fact does not offer practical solutions or support to the client in managing their financial difficulties.

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A client with ESRD reports experiencing severe muscle cramps and twitching. Which nursing intervention is appropriate to address this symptom?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with ESRD asks the nurse about treatment options. Which statement by the nurse is accurate?

Correct Answer is B

Explanation

A client with ESRD is experiencing financial difficulties due to ongoing medical expenses. The nurse recognizes the client's distress and wants to provide appropriate support. What action should the nurse take?

Correct Answer is B

Explanation

A client with ESRD undergoing hemodialysis complains of nausea and vomiting during the procedure. The nurse should take which action to address this symptom?

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A client with ESRD asks the nurse about the potential complications they may face. Which response by the nurse is accurate?

A nurse is assessing a client with ESRD and asks about their history of medications. The client mentions using non-prescription herbal supplements regularly. Which response by the nurse is accurate?

A client with ESRD is considering dialysis as a treatment option. The client asks the nurse about the different types of dialysis. Which response by the nurse is accurate?

A nurse is caring for a client with ESRD and notices that the client is experiencing fatigue and weakness. Which assessment finding should the nurse prioritize for this client?

A nurse is educating a client about the purpose of dialysis as a treatment for ESRD. Which statement by the client indicates a correct understanding of dialysis?

A client with ESRD is receiving peritoneal dialysis. The nurse should closely monitor the client for which potential complication associated with this type of dialysis?